NPIMap

Individual provider Active NPI

Jose J Centurion, MD

  • Cardiovascular Disease Physician
  • Miami Shores, FL
National Provider Identifier
1376532655
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME43332 Issued in FL
Practice address
9526 NE 2ND Ave
#102
Miami Shores, FL 33138-2750
Phone
(305) 751-0007
Fax
(305) 754-4947
NPI assigned
Oct 19, 2005
Last updated
Aug 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME43332 FL Primary

Addresses

Primary practice location

9526 NE 2ND Ave
#102
Miami Shores, FL 33138-2750

Mailing address

9526 NE 2ND Ave
#102
Miami Shores, FL 33138-2750
Phone (305) 751-0007

Other identifiers 1

IdentifierTypeStateIssuer
056481800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060117001138 FL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 5092611749 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centurion Quintana and Associates MDS PAGroup PAC ID 8820182801, 2 clinicians

Practice addresses (Care Compare)

9526 NE 2ND Ave
Suite 102
Miami Shores, FL 33138-2750
Phone (305) 335-9480

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Ekg Associates Inc Cardiovascular Disease CurrentSince Dec 5, 1983 Accepting new patients
Mercy Ekg & Echo Readers, Inc Cardiovascular Disease CurrentSince Jul 1, 1994 Accepting new patients
Centurion Quintana & Associates MDS PA Cardiovascular Disease CurrentSince Dec 5, 1983 Accepting new patients
Miami Cardiopulmonary Institute LLC PastSince Aug 31, 2001 Accepting new patients
21 Medical Group LLC Cardiovascular Disease Past Accepting new patients
Mercy Medical Development Inc Past Accepting new patients

Locations

2100 Salzedo St
Ste 200
Coral Gables, FL 33134

299 Alhambra Cir
Ste 401
Coral Gables, FL 33134
Phone (786) 290-8195

4625 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 665-8422

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

9519 NE 2nd Ave
Miami Shores, FL 33138
Phone (305) 751-0007

9526 NE 2nd Ave
Ste 102
Miami Shores, FL 33138
Phone (305) 335-9480

5927 SW 70th St
Unit 439031
South Miami, FL 33243
Phone (305) 669-2833

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HAGBDD/Endpoint/HAGBDD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1376532655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9526 NE 2ND AVE",
            "address_2": "#102",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382750",
            "telephone_number": "305-751-0007",
            "fax_number": "305-754-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9526 NE 2ND AVE",
            "address_2": "#102",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382750",
            "telephone_number": "305-751-0007",
            "fax_number": "305-754-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTURION",
        "first_name": "JOSE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME43332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056481800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Shores, FL

Sources for this page

Verify at the official NPI Registry.